cms_ND: 15
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 15 | THE MEADOWS ON UNIVERSITY | 355024 | 1315 S UNIVERSITY DR | FARGO | ND | 58103 | 2019-05-16 | 657 | D | 1 | 1 | FA2L11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > THIS IS A REPEAT DEFICIENCY FROM THE SURVEYS COMPLETED ON 06/28/18. Based on observation, record review, and staff interview, the facility failed to review/revise the comprehensive care plans to reflect the current status for 2 of 20 sampled residents (Resident #17 and #54). Failure to revise the care plan limited staff's ability to communicate care needs and ensure continuity of care for each resident. Findings include: - Review of Resident #54's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. The skilled therapy notes showed physical therapy services discontinued on 12/31/18 and occupational therapy services discontinued on 01/11/19. The most recent quarterly Minimum Data Set ((MDS) dated [DATE], identified Resident #54 to be cognitively intact. The progress notes showed the following: * 02/07/19 at 3:02 p.m., . Continues to refuse to get up despite being offered multiple times, . * 04/18/19 at 10:30 p.m., . Order signed by MD (physician) for D/C (discontinue) of Ensure [MEDICATION NAME] this date. * 04/24/19 at 11:10 p.m., . Bed mobility: . prefers to stay in bed . Toileting: Is incontinent of b & b (bowel and bladder). Check et (and) change as needed . Resident #54's current care plan stated, . Interventions: Remind resident to wear gripper socks when up . Get up every morning at 11:00 AM for therapy . OT (Occupational Therapy) ADL (Activities of Daily Living) training/adaptive equipment to improve self-care, home management training, meal preparation, safety procedures and/or instructions in use of assistive devices and/or technology . Get up and be ready for therapy by 10:30 AM and go to therapy by 11:00 AM . Adjust toileting times to meet patient needs . Provide assistance with toileting . Supplements: 8 oz (ounces) Ensure [MEDICATION NAME] PM and HS (hour of sleep) . Assist with dentures as needed . Refer to dentist/hygienist for evaluation/recommendations re: denture realignment, new fitting . Fistula to right upper arm: assess for bruit/thrills . Observation on all days of survey showed Resident #54 did not wear dentures, the resident reported she preferred not to wear her dentures. During an interview on 05/15/19 at 5:20 p.m., an administrative nurse (#1) reported Resident #54 had a fistula insertion procedure in (MONTH) (YEAR) to be prepared for [MEDICAL TREATMENT]. Later Resident #54's physician determined she did not need [MEDICAL TREATMENT], however the fistula remained intact and no longer required monitoring. The administrative nurse (#1) confirmed staff failed to update Resident #54's care plan in all areas noted above. - Review of Resident #17's medical record occurred on all days of survey. Resident #17's progress notes showed the following: * 03/22/19 at 12:33 p.m., . Order received: (MONTH) remove [DEVICE] (Gastric tube) . Resident #17's current care plan stated, . Focus: presence of [DEVICE] . Interventions: Provide water flushes as ordered . Observation on all days of survey showed Resident #17 did not have a [DEVICE]. During an interview on 05/15/19 at 4:30 p.m., an administrative nurse (#1) confirmed staff failed to update Resident #17's care plan. | 2020-09-01 |